<?php echo $header; ?>


		  <!-- Start - Left Side -->
	      <div id="left" class="span-24 ">
	      <div id="account_forgotten" class="span-24 checkout">
	      <h1><?php echo $heading_title; ?></h1>
	          <?php if ($error) { ?>
    <div class="warning"><?php echo $error; ?></div>
    <?php } ?>
    <form action="<?php echo str_replace('&', '&amp;', $action); ?>" method="post" enctype="multipart/form-data" id="forgotten">
      <p><?php echo $text_email; ?></p>
      <b style="margin-bottom: 2px; display: block;"><?php echo $text_your_email; ?></b>
      <div style="background: #F7F7F7; border: 1px solid #DDDDDD; padding: 10px; margin-bottom: 10px;">
        <table>
          <tr>
            <td width="150"><?php echo $entry_firstname; ?></td>
            <td><input type="text" name="firstname" /></td>
          </tr>
		  <tr>
            <td width="150"><?php echo $entry_lastname; ?></td>
            <td><input type="text" name="lastname" /></td>
          </tr>
		  <tr>
            <td width="150"><?php echo $entry_thaiid; ?></td>
            <td><input type="text" name="thaiid" /></td>
          </tr>
		  <tr>
            <td width="150"><?php echo $entry_email; ?></td>
            <td><input type="text" name="email" /></td>
          </tr>
        </table>
      </div>
      <div class="buttons">
        <table>
          <tr>
            <td align="left"><a onclick="location = '<?php echo str_replace('&', '&amp;', $back); ?>'" class="button"><span><?php echo $button_back; ?></span></a></td>
            <td align="right" class="tb_right"><a onclick="$('#forgotten').submit();" class="button"><span><?php echo $button_continue; ?></span></a></td>
          </tr>
        </table>
      </div>
    </form>
	      </div>
	      </div>
       	 <!-- End - Left Side -->
       	 
       	 


<?php echo $footer; ?> 


